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VALENTINA BABUCHYAN
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1174179444
Individual Registrant: VALENTINA BABUCHYAN
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
70 S PALM AVE ALHAMBRA, CA 91801-3101 US
Tel: 626-289-6131 Fax: --
Tel: 626-289-6131 Fax: --
Contact information for business:
1025 RUBERTA AVE APT 1 GLENDALE, CA 91201-2126 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1174179444
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | CA | DDS104167 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
